The short-term effect of radical hysterectomy on urethral and bladder function

D. I M Farquharson, H. M. Shingleton, J. W. Orr, Kenneth D Hatch, S. Hester, S. J. Soong

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

To investigate bladder neck and urethral function after radical hysterectomy, 21 patients were investigated before and 3 months after the operation. Each patient had an excretory urogram, CO2 cystoscopy, uroflowmetry, water cystometry and a urethral pressure profile, using a dual sensor microtransducer catheter, at rest and during stress. Postoperatively there was a significant reduction in urethral length and urethral closure pressure; however, pressure transmission ratios were maintained, indicating no loss of bladder neck support with stress. Of the six patients with pre-operative bladder neck weakness, two (33%) had stress urinary incontinence at the 3 months assessment. No patient with a normal pre-operative assessment developed this complication. Fifteen (71%) voided by abdominal straining and this manoeuvre emptied the bladder effectively. These data suggest that patients with pre-operative evidence of an incompetent bladder neck may be predisposed to develop stress urinary incontinence after radical hysterectomy because of a reduction in the urethral closure pressure.

Original languageEnglish (US)
Pages (from-to)351-357
Number of pages7
JournalBritish Journal of Obstetrics and Gynaecology
Volume94
Issue number4
StatePublished - Apr 1987
Externally publishedYes

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Hysterectomy
Urinary Bladder
Pressure
Stress Urinary Incontinence
Cystoscopy
Urography
Catheters
Water

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Farquharson, D. I. M., Shingleton, H. M., Orr, J. W., Hatch, K. D., Hester, S., & Soong, S. J. (1987). The short-term effect of radical hysterectomy on urethral and bladder function. British Journal of Obstetrics and Gynaecology, 94(4), 351-357.

The short-term effect of radical hysterectomy on urethral and bladder function. / Farquharson, D. I M; Shingleton, H. M.; Orr, J. W.; Hatch, Kenneth D; Hester, S.; Soong, S. J.

In: British Journal of Obstetrics and Gynaecology, Vol. 94, No. 4, 04.1987, p. 351-357.

Research output: Contribution to journalArticle

Farquharson, DIM, Shingleton, HM, Orr, JW, Hatch, KD, Hester, S & Soong, SJ 1987, 'The short-term effect of radical hysterectomy on urethral and bladder function', British Journal of Obstetrics and Gynaecology, vol. 94, no. 4, pp. 351-357.
Farquharson, D. I M ; Shingleton, H. M. ; Orr, J. W. ; Hatch, Kenneth D ; Hester, S. ; Soong, S. J. / The short-term effect of radical hysterectomy on urethral and bladder function. In: British Journal of Obstetrics and Gynaecology. 1987 ; Vol. 94, No. 4. pp. 351-357.
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